Active NPI
Gregory A Oloffson, LCPC CADC
- Professional Counselor
- Westmont, IL
National Provider Identifier
1124276654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180000519
- Practice address
- 350 E Ogden Ave
Suite 101
Westmont, IL 60559-5534 - Phone
- (630) 920-9693
- NPI assigned
- Sep 9, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12162 | IL | |
| Professional Counselor | 101YP2500X | 180000519 | IL | Primary |
Addresses
Primary practice location
350 E Ogden Ave
Suite 101
Westmont, IL 60559-5534
Mailing address
350 E Ogden Ave
Suite 101
Westmont, IL 60559-5534
Phone (630) 920-9693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12162 | IL | MD | Addiction (Substance Use Disorder) Counselor |
| 180000519 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220918400000",
"number": "1124276654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 E OGDEN AVE",
"address_2": "SUITE 101",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595534",
"telephone_number": "630-920-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 E OGDEN AVE",
"address_2": "SUITE 101",
"city": "WESTMONT",
"state": "IL",
"postal_code": "605595534",
"telephone_number": "630-920-9693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLOFFSON",
"first_name": "GREGORY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "LCPC CADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-09",
"last_updated": "2008-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "12162",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180000519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westmont, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.